Organization · Type 2 NPI

Southeastern Emergency Services P C

Nurse Practitioner · Athens, TN

NPI number 1669414264 Active

Practice location

1114 W Madison Ave
Athens, TN 37371

Mailing address

P O Box 634760
Cincinnati, OH 45263-4760

Specialties and licenses

TaxonomyCodeLicense
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204XNone listed
Physician Assistant 363A00000XNone listed
Medical Physician Assistant 363AM0700XNone listed
Nurse Practitioner Primary 363L00000XNone listed
Nurse Practitioner 363L00000XNone listed
Pediatric Nurse Practitioner 363LP0200XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

About NPI 1669414264

Southeastern Emergency Services P C's National Provider Identifier is 1669414264, issued on Jun 11, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Athens, TN. The record was last updated on Sep 14, 2020.